Dr OLEG ANTONOV is a male medical professional, specializing in Family Medicine. He graduated in 1986.
11400 BUSTLETON AVE
PHILADELPHIA
PA
191162815
Tel:
Npi | 1841481561 |
Pac Id | 4385715713 |
Professional Enrollment Id | I20080612000462 |
Last Name | ANTONOV |
First Name | OLEG |
Middle Name | |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 1986 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialty 1 | DERMATOLOGY |
Secondary Specialty 2 | |
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Secondary Specialty 4 | |
All Secondary Specialties | DERMATOLOGY |
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Number Of Group Practice Members | |
Line 1 Street Address | 11400 BUSTLETON AVE |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | PHILADELPHIA |
State | PA |
Zip Code | 191162815 |
Phone Number | |
Hospital Affiliation Ccn 1 | 390044 |
Hospital Affiliation Lbn 1 | READING HOSPITAL |
Hospital Affiliation Ccn 2 | |
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Professional Accepts Medicare Assignment | Y |
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